Choose Advanced Cardiac Procedures for
Heart Rhythm Disorders

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If irregular heartbeats trouble you, rely on the proficiency of Apollo Hospitals' adept cardiologists for effective treatment using advanced Electrophysiology Study, Radiofrequency Ablation Therapy, and state-of-the-art Pacemakers. Supported by experienced doctors and cutting-edge technology, we stand as the premier hospital for treating heartbeat problems in Hyderabad.

Why Choose Us ?

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Expert Doctors

Apollo has an expert Cardiology team with advanced training in the treatment of cardiac rhythm disorders with very high precision, which also includes high-end pacing techniques like conduction system pacing

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Advanced Techniques
and Infrastructure

We are equipped with state-of-the-art EP Labs, including 3D mapping technology, to provide high-resolution diagnostics. We also offer a complete range of modern pacemaker devices, are pioneers at advanced pacing techniques such as conduction system pacing, bi-ventricular pacing and leadless pacemakers

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Proven Success

Apollo is the first and only hospitalto offer a personalised Homecare Recovery program after CABG, ensuring optimal outcomes with top cardiac surgeons and an internationally recognised fast-track recovery program.

About Electrophysiology

Electrophysiology Study, also known as EPS, is a highly specialised diagnostic procedure that meticulously evaluates the electrical activity of your heart.

It helps identify the underlying cause and specific location of abnormal heart rhythms, especially fast heart arrhythmias like atrial fibrillation, supraventricular tachycardia, flutter, and ventricular tachycardia, giving a very accurate diagnosis.

This enables treatments using an advanced and effective approach called radio frequency ablation therapy, which involves delivering focal and precise energy to these sites to specifically ‘ablate’ or destroy the cells in the heart, causing the rhythm disorder, without damaging other tissues.

Working of Electrophysiology Simplified in 3 Steps

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Catheter Insertion

Conducted by an electrophysiologist, it involves inserting thin, flexible sophisticated wires known as catheters into a blood vessel, typically in the groin. Catheters are guided into the heart to facilitate cardiac rhythm mapping.

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Signal Measurement

Each catheter is equipped with two or more electrodes to record and analyse the heart's electrical signals. These catheters are manoeuvred in various chambers of the heart, recording precise electrical signals, thereby enabling the cardiac electrophysiologist to diagnose the arrhythmia effectively.

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Treatment Precisio

This information is carefully analysed to identify the specific site within the heart where therapeutic intervention may be beneficial. One of the modalities is used for catheter ablation, either extreme heat (radio frequency ablation) or extreme cold (cryoablation) which destroys the cells at the precise site, causing the rhythm disorder.

About Pacemaker

A pacemaker is a small, battery-powered electronic device that is implanted within the chest through a minor surgery, to consistently maintain your normal heart rhythm.

This medical intervention is recommended for individuals experiencing bradycardia (slow heartbeat) and heart failure necessitating the restoration of a harmonious heart rhythm.

Diagnostic assessments such as electrocardiogram, echocardiogram, Holter monitoring, stress tests, and electrophysiology studies (EPS) are employed to ascertain the suitability of a pacemaker/device for an individual's specific medical condition.

How a Pacemaker Works

Sensing

The pacemaker reliably monitors the intrinsic electrical activity of the heart, discerning instances when the natural rhythm fails or exhibits a sluggish pattern.

Electrical Signalling

Upon detecting a suboptimal or slow heart rhythm, the pacemaker triggers the heart beats by generating low-energy electrical discharges which are transmitted through slender, insulated wires (leads) to the cardiac muscle.

Heart Stimulation

The electrical signals serve to stimulate the contraction of the heart muscle, compensating for the slow and irregular intrinsic heart beats and thereby maintaining a seamless and synchronous rhythm.

Types of Pacemakers and Advanced Devices

  • Pacemakers are mainly used for patients with bradycardia (slow heart rate)
  • Pacemaker leads can be connected to a single chamber in the heart or double chamber which improves the synchrony of cardiac chambers.
  • Leadless pacemakers are a latest advancement involving a small, light device which can be easily implanted without any need for leads.
  • Conduction system pacing is another remarkable breakthrough in the field of pacemaker, which exactly mimics the normal electrical pattern of the heart and is of the side effects of the older pacemaker models.
  • ICDs (Implantable Cardioverter Defibrillator) are indicated for those at risk of sudden cardiac arrest due to some life-threatening fast-heart rate conditions like ventricular tachycardia (VT) or ventricular fibrillation.
  • CRT (Cardiac Resynchronisation Therapy) devices are used in patients with heart failure and electrical conduction abnormalities to improve the coordination and synchrony of heart contractions which improves the Cardiac pumping.

Benefits of LVAD

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Lifesaving Function

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Heart Rhythm Control

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Improved Quality of Life

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Reduced Risk of Heart Failure

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Better Exercise Tolerance

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Better Sleep Quality

FAQs

An Electrophysiology Study (EPS) is a diagnostic procedure used to identify irregular heart rhythms. During the procedure, a thin, flexible tube is inserted through a vein to reach your heart. Specialised equipment records your heart's electrical activity, helping our experts pinpoint the issue.

Electrophysiologists are cardiologists who are additionally trained in cardiac rhythm disorders by means of a fellowship. They are trained in advanced diagnosis and treatment techniques, including electrophysiology studies, ablation treatments, advanced pacing techniques, and continuous monitoring and management of rhythm disorders.

EPS is done if you are experiencing the following symptoms:
  • Angina or chest pain
  • Pain in the arms or shoulder
  • Weakness
  • Light-headedness
  • Irregular heart beats
  • Shortness of breath
  • Swelling in hands and feet

The procedure usually takes a few hours, and you will need to rest for a few hours afterwards. Plan for a day at the hospital, and you will be back to your routine the next day.

Most electrophysiology procedures are minimally invasive and generally painless. Sedation ensures your comfort throughout the procedure.

A pacemaker is usually deemed necessary when the heart exhibits bradycardia (frequently slow heart rate), tachycardia (frequently fast heart rate), irregular heartbeats, heart failure, or heart block. Instances of dizziness, fatigue, or fainting attributed to heart rhythm disturbances warrant immediate consultation with our cardiologist or cardiac electrophysiologist.
It is important to seek professional medical advice in such circumstances to ensure the suitability of pacemaker intervention.

Yes, getting a pacemaker is safe and very common. Our experienced team possess expertise in performing it safely and minimising any risks.

Usually you can return home on the same day as the procedure or the following day. It is essential to coordinate transportation for someone to pick you up from the hospital and accompany you home.

Recovery is usually quick. Most patients can get back to their normal activities within a few days. Our healthcare team will give you detailed instructions and support you during your recovery.

You might feel the pacemaker on touching the implant site, what is usually not visible externally. After a little discomfort for the initial two days, patients usually completely settle down without any abnormal feeling.

The usual electronic appliances used in day-to-day life have no interactions on pacemakers and can be used without any difficulty. Hence, there are no restrictions or limitations in using electronic devices. Speak to your cardiologist to understand the Do’s and Don'ts.

After the patient recovers, which is usually a few days after the procedure, there is no restriction on any kind of activity, including all that is mentioned above.

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